Assessment of the Effects of Physiotherapy on Back Care and Prevention of Non-Specific Low Back Pain in Children and Adolescents: A Systematic Review and Meta-Analysis

被引:0
|
作者
Garcia-Moreno, Jose Manuel [1 ]
Calvo-Munoz, Inmaculada [2 ]
Gomez-Conesa, Antonia [3 ]
Lopez-Lopez, Jose Antonio [3 ,4 ]
机构
[1] Univ Murcia, Int Sch Doctoral Studies, Murcia 30100, Spain
[2] UCAM Catholic Univ Murcia, Dept Physiotherapy, Murcia 30007, Spain
[3] Univ Murcia, Res Grp Res Methods & Evaluat Social Sci, Mare Nostrum Campus Int Excellence, Murcia 30100, Spain
[4] Univ Murcia, Dept Basic Psychol & Methodol, Murcia 30100, Spain
关键词
low back pain; non-specific low back pain; children; adolescents; physiotherapy; prevention; meta-analysis; ELEMENTARY-SCHOOL; EDUCATION-PROGRAM; PHYSICAL-ACTIVITY; KNOWLEDGE; SCHOOLCHILDREN; HEALTH; EXERCISE; EFFICACY;
D O I
10.3390/healthcare12101036
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Non-specific low back pain (NSLBP) in children and adolescents has increased in recent years, and the evidence of the physiotherapy interventions in back care needs to be updated. Our main goal was to quantify the effects of preventive physiotherapy interventions on improving behavior and knowledge related to back care and prevention of NSLBP in children and adolescents. Based on two previous meta-analyses, Cochrane Library, MEDLINE, PEDro, Web of Science, LILACS, IBECS, PsycINFO, and IME databases and several journals were searched. Two researchers independently extracted data and assessed the risk of bias in the studies using the RoB2 tool. Data were described according to PRISMA guidelines. A total of 24 studies (28 reports) were included. In the posttest, the behavior variable obtained an overall effect size of d+ = 1.48 (95%CI: 0.40 to 2.56), and the knowledge variable obtained an effect size of d+ = 1.41 (95%CI: 1.05 to 1.76). Physiotherapy has demonstrated beneficial impacts on behavior and knowledge concerning back care and to prevent NSLBP in children and adolescents. Interventions focusing on postural hygiene and exercise should be preferred, especially those that are shorter in number of weeks, more intense, and incorporate as many intervention hours as possible.
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页数:26
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